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Sick Day Rule
Diabetes can be more difficult to treat when you are ill. The following guidelines
can help your diabetes under control.
- Report any illness to your physician when it increases your blood glucose level.
- Test blood glucose more frequently, at least 2-4 hours until results are normal
- Call your physician and ask for guidance, especially:
- If high blood glucose levels (250 mg/dl or greater) last more than 6 hours
- If you are unable to take fluids or food for four hours
- If you have a fever (101.5 F or greater)
- If illness last more than 2 hours
- If you are dehydrated
- Severe abdominal pain or unexplained symtoms
- When contacting physician, have handy the results of glucose, ketones, symptoms
of illness and body temperature
- Continue taking insulin even if you are unable to eat solid food or are vomiting.
Your insulin need may stay same or increase when you are ill
- Continue eating foods and drinking fluid even if you are vomiting, having diarrhea,
or your blood glucose level is high
- Take at least 45-50 g of carbohydrate every 3-4 hours. If regular foods are not
tolerated, try carbohydrate containing liquids or soft foods. The following foods
contain 15 g carbohydrate in the amount listed:
- ½ cup regular soft drink
- 1 cup soup
- ½ cup fruit juice
- 1 slice toast
- 2 biscuits
- To prevent dehydration drink at least one glass of fluid every hour. If drinking
causes vomiting, limit fluid 1-2 tablespoon /20 mts
- Limit your activity if blood glucose is >250mg/dl or ketones are moderate or
high
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